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7. Outcome of key external inspections

Avon and Somerset Constabulary (ASC)

Her Majesty’s Inspectorate of Constabulary (HMIC) reports contain recommendations that require action from specific forces; action from all forces; action from national bodies such as the College of Policing, the Home Office and action from Association of Chief Police Officers (ACPO) Leads. Not all require a response from Avon and Somerset Constabulary. Some recommendations are addressed to a combination of organisations, and some are dependent on action from other agencies taking place in order for forces to progress their part of the recommendation.

The agreed process and approach is set out in the Guidance for Police Business Leads. Progress updates from the Business Leads are recorded within business support.

HMIC have advised that they will be reviewing the progress of recommendations; the recent Child Protection visit is a current example HMIC will be reviewing previous recommendations as a matter of course.

The following is a list of relevant inspections that affect the policing response to vulnerability.

Domestic Abuse

National and Force Specific Report
Published 27 March 2014

Child Protection (pilot visit to ASC)

Report dated 17 July 2014

Crime Data Integrity (CDI)

National and Force Specific Reports published 18 November 2014

The welfare of vulnerable people in police custody

Report published 10 March 2015

In 2015 the force has been inspected in connection with honour based violence, forced marriage and female genital mutilation. There has been a very recent inspection around the force response to vulnerability focusing on missing persons, domestic abuse follow up and safeguarding the public. The next phase is in autumn 2015. Inspection reports are available on the HMIC website:  http://www.justiceinspectorates.gov.uk/hmic/avon-and-somerset/).

Care Quality Commission (CQC)

The CQC inspects all care homes and domiciliary care services which provide personal care to people. These reports are checked by the Institutional Safeguarding Team. This forms part of the information used to assess whether a provider may be a subject of concern.

The new inspection format provides a very easy way to see whether a service is outstanding, good, requires improvement or is inadequate. From 1 April 2015 CQC will have the power to put a service into special measures in addition to its existing powers to require actions to bring the service to an acceptable level.

A brief summary of the AWP CQC Inspection

  • The AWP CQC Inspection took place in June 2014, led by Professor Chris Thompson involving over 70 inspectors
  • Many positive themes were identified including kind, caring, compassionate and responsive staff and clear leadership
  • Safeguarding processes were complemented
  • Despite the above, there were significant areas of concern identified by the CQC including four warning notices and a range of enforcement actions. These did not immediately pertain to the South Gloucestershire Locality of AWP.  The issues were largely around the environment, safety and staffing levels on inpatient units in other localities
  • A comprehensive Trust-wide action plan was put into effect after the visit including improvements to pharmacy processes, care planning, improved safety and increased learning from incidents
  • The CQC revisited in September 2014 and lifted all four warning notices. Praise regarding the speed of improvement was given
  • A further CQC visit is expected later in 2015.  The Trust is aiming to gain a “good” rating

A Brief Summary of the NBT Inspection

  • Overall Rating, – Rated as:  Requires improvement – NBT feel that this reflects the organisational change and operational challenges with the move to the Brunel building at the Southmead site
  • All areas found to be Good for Caring
  • Riverside Inpatient CAMHs.  Rated as Good
  • Emergency Department – (Enforcement Action) Rated as:  Inadequate key focus to improve safety and responsiveness
  • Outstanding practice – CCHP, Cossham Birth Centre  Rated as Outstanding
  • DoLS Practice in ICU – CQC asked for changes to the way Deprivation of Liberty is applied in the Intensive Care Unit

Overall there were 34 ‘must do’ actions and 41 ‘should do’ actions

For further information you can visit the CQC website – http://www.cqc.org.uk/